Individual provider Active NPI

Barbara Milbert Namayanja

  • Family Medicine Physician
  • Riverside, CA
National Provider Identifier
1386330470
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
65024725 Issued in CA
Practice address
191 E Alessandro Blvd # 9a
Riverside, CA 92508-5095
Phone
(951) 780-3300
NPI assigned
Apr 12, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 65024725 CA Primary

Addresses

Primary practice location

191 E Alessandro Blvd # 9a
Riverside, CA 92508-5095

Mailing address

14787 Blazing Star Dr
Eastvale, CA 92880-9156
Phone (303) 974-8920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230622001604 CA Practitioner - Nurse Practitioner 8527426642 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vituity Physician Services PCGroup PAC ID 0749620888, 58 clinicians

Practice addresses (Care Compare)

800 E Lugonia Ave
Suite F
Redlands, CA 92374-2550
Phone (855) 422-8029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
65024725CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Grove Medical Corporation CurrentSince May 5, 2023 Accepting new patients
Vituity Physician Services PC Family Medicine CurrentSince Jan 15, 2025 Accepting new patients
PRN Urgent Care, Inc. PastSince May 5, 2023 Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

800 E Lugonia Ave
Ste F
Redlands, CA 92374
Phone (855) 422-8029

191 E Alessandro Blvd
Ste 9A
Riverside, CA 92508
Phone (951) 780-3300

191 E Alessandro Blvd
#9A
Riverside, CA 92508
Phone (951) 338-9707

1499 E Highland Ave
Sn Bernrdno, CA 92404
Phone (855) 422-8029

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1386330470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14787 BLAZING STAR DR",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928809156",
            "telephone_number": "303-974-8920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 E ALESSANDRO BLVD # 9A",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925085095",
            "telephone_number": "951-780-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAMAYANJA",
        "first_name": "BARBARA",
        "middle_name": "MILBERT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "65024725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.